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Updated: May 28, 2026

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Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients
Published on: April 14, 2014
Tau protein: a possible prognostic factor in optic neuritis and multiple sclerosis
J Frederiksen1, K Kristensen, J M C Bahl
1Department of Neurology, Glostrup Hospital, University of Copenhagen, Glostrup, Denmark. jefr@glo.regionh.dk
Summary
Elevated tau protein in cerebrospinal fluid (CSF) may indicate axonal damage in multiple sclerosis (MS). This study found higher tau levels in MS patients, suggesting its potential as a biomarker for predicting optic neuritis (ON) progression to MS.
Area of Science:
- Neuroscience
- Biomarker Discovery
- Neurology
Background:
- Tau protein is a potential biomarker for axonal damage and irreversible neurological impairment in Multiple Sclerosis (MS).
- Cerebrospinal fluid (CSF) tau concentrations may help assess the risk of progression from Optic Neuritis (ON) to MS.
Purpose of the Study:
- To investigate the association between tau protein and 14-3-3 protein concentrations in CSF.
- To compare these levels in patients with monosymptomatic ON versus those who progressed to MS.
- To evaluate findings against existing literature.
Main Methods:
- Analysis of CSF samples from 66 patients with MS and/or ON.
- Quantification of tau protein and 14-3-3 protein in CSF.
- Correlation of protein levels with clinical and paraclinical data.
Main Results:
- Significantly increased CSF tau protein in relapsing-remitting MS and ON patients who progressed to MS.
- No elevated tau protein detected in monosymptomatic ON patients.
- Tau protein concentration significantly correlated with Expanded Disability Status Scale (EDSS) score.
- 14-3-3 protein was not detected in any CSF samples.
Conclusions:
- Tau protein may serve as a prognostic factor for predicting the progression from ON to MS.
- Further research is warranted to explore the role of CSF tau protein in MS.
